Novel X-ray technique could transform tissue diagnosis

A new X-ray imaging technique could transform how hospitals analyze tissue samples, potentially speeding up diagnoses and improving outcomes for patients, shows a new study led by UCL researchers. The technology, developed in collaboration with the Memorial Sloan Kettering Cancer Center, Rigaku Americas and Creatv MicroTech, Inc., produces crisp 3D maps of biological tissue without cutting or staining samples, a significant improvement on the conventional process used in histopathology—the process of examining tissue to study, diagnose and treat diseases, particularly cancer.

Histopathology currently relies on slicing tissue samples, extracted in a biopsy, into extremely thin sections, staining them with dyes and examining each slice under a microscope. These 2D images are stacked on top of each other to create a 3D image and then interpreted by specialists to identify disease.

The process is time-consuming, costly and destructive, meaning crucial follow-up tests that could help confirm the correct diagnosis often cannot be performed.

The newly developed, non-destructive approach, described in a new paper published in Proceedings of the National Academy of Sciences, uses a compact X-ray microscope based on standard anode X-ray source technology, the same used in most hospitals today. It is roughly the size of a small laboratory instrument and can generate high-resolution 3D maps of intact tissue samples, significantly cutting down on time and cost.

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